We can't wait to see all the Carolina Smiling Faces from our Beautiful Carolina Places at AMCP Annual!
REGISTER NOW for AMCP 2025 and join us for Carolinas AMCP Affiliate meeting April 1st @ 7PM. See you there!!
Carolinas AMCP Affiliate
非盈利组织
Raleigh，North Carolina 1,096 位关注者
An AMCP Affiliate Group that includes Managed Care Pharmacists within the North Carolina and South Carolina markets
关于我们
Carolinas AMCP is an Affiliate Organization representing the National AMCP Organization locally in the North Carolina and South Carolina Managed Care markets
- 网站
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https://www.amcp.org/membership/volunteer-opportunities-overview/amcp-affiliate-program
Carolinas AMCP Affiliate的外部链接
- 所属行业
- 非盈利组织
- 规模
- 201-500 人
- 总部
- Raleigh，North Carolina
- 类型
- 非营利机构
- 创立
- 2022
地点
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主要
获取路线
Raleigh Durham Hwy
US，North Carolina，Raleigh
动态
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ManagedCareEye.com Presents: Understanding the Patient Journey for Better Outcomes in AMD and DR/DME: A Carolinas AMCP Educational Activity This is a ‘live’ replay session of our CE dinner event through Impact Education, LLC in Columbia, SC on 2/5/25. You may register to obtain CE credit if you were unable to make the in-person event. Support our Carolinas AMCP Affiliate members who were panelists for this program! Erin Bostick, PharmD & Catherine Helms, PharmD
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ManagedCareEye.com Presents: Understanding the Patient Journey for Better Outcomes in AMD and DR/DME: A Carolinas AMCP Educational Activity This is a ‘live’ replay session of our CE dinner event through Impact Education, LLC in Columbia, SC on 2/5/25. You may register to obtain CE credit if you were unable to make the in-person event. Support our Carolinas AMCP Affiliate members who were panelists for this program! Erin Bostick, PharmD & Catherine Helms, PharmD
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**Important legislation update for managed care pharmacists of the Carolinas** On February 13th, 2025, the South Carolina Senate introduced Senate Bill 342, Operations of Pharmacy Benefit Managers (PBM) in South Carolina Key bill provisions include... - Mandates PBM reimbursement pharmacies at National Average Drug Acquisition Cost (NADAC) or WAC (wholesale acquisition cost) + dispensing fee equal to SC Medicaid dispensing fee (current 2025 = $10.50). - Mandates that “low-volume pharmacies” (dispensing < 65,000 prescriptions annually) receive an enhanced dispensing fee - A PBM may not reimburse pharmacies an amount less than the amount the PBM reimburses itself or an affiliate pharmacy - For specialized delivery drug, dispensing fee to be equal to twice the dispensing fee - Prohibits point-of-sale cost increase or after sale increases by PBMs as means of recouping the dispensing fee - Removes certain prohibitions on PBMs including prohibition on claims reconciliation and anti-steering provisions, while empowering the Attorney General to lake action against unlawful practices. - Authorizes SC DHHS to assume direct responsibilities of SC Medicaid pharmacy services - Prohibits PBMs from engaging in claims reconciliation related to brand and generic effective rates - Repeals the placement of a drug on the Maximum Allowable Cost list (MAC) by PBMs - Authorizes the state Attorney General’s office on action against violations of the bill’s provisions - Target effective date: January 1, 2026 ? Sponsors: Rankin (R-Horry County), Peeler (R-Cherokee, Spartanburg, Union & York counties), Goldfinch (R-Georgetown & Horry Counties), Gambrell (R-Abbeville & Anderson Counties), Blackmon (R-Chesterfield, Kershaw & Lancaster Counties), Graham (D-Kershaw, Lee, Richland & Sumter Counties) ? Latest action: Referred to Committee on Banking and Insurance (chaired by Cromer (R-Newberry County, who is a pharmacist) ? Relevant AMCP stakeholders: PBMs, Health Plans, Network Pharmacy Providers ? Full text of the bill: https://lnkd.in/e7wA4FeD If you have any questions, please reach out to one of the Carolinas AMCP Legislative Committee Members: Michael Brodeur, Spenser Smith, Lindsey McInturff, Pharm.D., MMHC, Jay Vora, PharmD, MBA, Madhavi Manduru-Rao, Bryan Amick, Amanda Gates
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Pharmacist passionate about helping patients access affordable and effective medications and leading healthier lives.
Join us to hear about all the great things that are happening in the Carolinas !
REGISTER NOW for AMCP 2025 and join us for Carolinas AMCP Affiliate meeting April 1st @ 7PM. See you there!!
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Hot off the press information on federal legislation impacting managed care pharmacy.
Last night, the House of Representatives passed a Continuing Resolution (CR) extending government funding through Sept. 30 to avoid a shutdown. While it reauthorizes key health care programs, PBM reform and other bipartisan priorities were left out. What’s Included: Public Health ? Funding for Community Health Centers, NHSC, and Teaching Health Centers ? Diabetes grants via NIH and IHS ? Extension of emergency preparedness authorities Medicare ? Telehealth flexibilities extended ? Continued support for low-volume and Medicare-dependent hospitals ? Maintains geographic index protections ? Part D oral antiviral coverage remains in place ? 2% Medicare provider cut continues Medicaid ? DSH program extended through Sept. 30 What's Missing: PBM reform and broader physician relief. Read our full summary at https://bit.ly/4bN4JhT, and stay tuned as AMCP continues to monitor and advocate on behalf of managed care pharmacy. #HealthPolicy #PBMReform #Medicare #Medicaid #Telehealth #AMCPAdvocacy #ManagedCarePharmacy
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**Important legislation update for managed care pharmacists of the Carolinas** On February 13th, 2025, the South Carolina Senate introduced Senate Bill 342, Operations of Pharmacy Benefit Managers (PBM) in South Carolina Key bill provisions include... - Mandates PBM reimbursement pharmacies at National Average Drug Acquisition Cost (NADAC) or WAC (wholesale acquisition cost) + dispensing fee equal to SC Medicaid dispensing fee (current 2025 = $10.50). - Mandates that “low-volume pharmacies” (dispensing < 65,000 prescriptions annually) receive an enhanced dispensing fee - A PBM may not reimburse pharmacies an amount less than the amount the PBM reimburses itself or an affiliate pharmacy - For specialized delivery drug, dispensing fee to be equal to twice the dispensing fee - Prohibits point-of-sale cost increase or after sale increases by PBMs as means of recouping the dispensing fee - Removes certain prohibitions on PBMs including prohibition on claims reconciliation and anti-steering provisions, while empowering the Attorney General to lake action against unlawful practices. - Authorizes SC DHHS to assume direct responsibilities of SC Medicaid pharmacy services - Prohibits PBMs from engaging in claims reconciliation related to brand and generic effective rates - Repeals the placement of a drug on the Maximum Allowable Cost list (MAC) by PBMs - Authorizes the state Attorney General’s office on action against violations of the bill’s provisions - Target effective date: January 1, 2026 ? Sponsors: Rankin (R-Horry County), Peeler (R-Cherokee, Spartanburg, Union & York counties), Goldfinch (R-Georgetown & Horry Counties), Gambrell (R-Abbeville & Anderson Counties), Blackmon (R-Chesterfield, Kershaw & Lancaster Counties), Graham (D-Kershaw, Lee, Richland & Sumter Counties) ? Latest action: Referred to Committee on Banking and Insurance (chaired by Cromer (R-Newberry County, who is a pharmacist) ? Relevant AMCP stakeholders: PBMs, Health Plans, Network Pharmacy Providers ? Full text of the bill: https://lnkd.in/e7wA4FeD If you have any questions, please reach out to one of the Carolinas AMCP Legislative Committee Members: Michael Brodeur, Spenser Smith, Lindsey McInturff, Pharm.D., MMHC, Jay Vora, PharmD, MBA, Madhavi Manduru-Rao, Bryan Amick, Amanda Gates
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**Important legislation update for managed care pharmacists of the Carolinas** On February 24, 2025, the North Carolina House of Representatives introduced House Bill 163, Pharmacy Benefits Manager (PBM) Provisions.?Key provisions include... - Prohibits spread pricing for all health plans - Mandates all plans reimburse pharmacies equal to or greater than the National Average Drug Acquisition Cost (NADAC) + a dispensing fee greater than or equal to NC Medicaid (currently $10.24) - Limits the accreditation requirements for a pharmacy to participate in a PBM’s specialty network - Limits a PBM’s audit of a pharmacy - Clarifies any willing provider language - Requires out-of-pocket costs to consider all rebates that the PBM or health plan has or will receive - Adds PBM reporting requirements to the Department of Insurance - Prohibits incentivizing mail-order pharmacy services Bill Sponsors: Rhyne (R- Lincoln County), Blackwell (R-Burke County), Honeycutt (R – Montgomery/Stanly County), Lowery (R-Robeson County) Latest Action:?Referred to House Committee on Health The full text of the bill can be found here: https://lnkd.in/e8CBp_Zu If you have any question, please reach out to one of the Carolinas AMCP Legislative Committee Members: Jay Vora, PharmD, MBA, Madhavi Manduru-Rao, Spenser Smith, Lindsey McInturff, Pharm.D., MMHC, Michael Brodeur, Bryan Amick, Amanda Gates